PMHNP|LMR GEORGETTE’S PMHNP CERTIFICATION EXAM 2025 ACTUAL EXAM (TESTING REAL EXAM QUESTIONS)AND VERIFIED ANSWERS ( 100% ACCURATE) A+

PMHNP|LMR GEORGETTE’S PMHNP
CERTIFICATION EXAM 2025 ACTUAL
EXAM (TESTING REAL EXAM
QUESTIONS)AND VERIFIED ANSWERS (
100% ACCURATE) A+

What does ADPIE stand for? - correct answer-Assessment
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Diagnosis

Planning

Implementation

Evaluation

What should you do when a mother reports her child woke up screaming in the middle of the night? -
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correct answer-Ask her if it's happened before to assess for sleep issue patterns
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What do you do if a patient comes in with fungus on their toenail? - correct answer-Scrape nail and
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send for testing
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What do you do if a patient on lithium has dark brown urine? - correct answer-Check renal function
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What do you do if a patient presents with fever while on Clozaril? - correct answer-Check ANC level to
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assess for agranulocytosis
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What can cause serotonin syndrome? - correct answer-Antidepressants, St. John's Wort, Same-E, Kava
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Kava, and Tryptophan
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What labs are indicative of NMS? - correct answer-Elevated WBC (over 11,000) and elevated CPK
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S/S of NMS - correct answer-muscle rigidity, hyperthermia, tachycardia, abnormal bp, sweating, altered
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mental status, cherry colored urine
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What should you do if a patient presents with cherry colored urine? - correct answer-Check for rhabdo
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with CPK
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s/s of serotonin syndrome - correct answer-hyperreflexia, muscle spasms, myoclonus (involuntary
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muscle jerk), fever, tachycardia, HTN, shits and shivers
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What two medications to give with NMS? - correct answer-bromocriptine (Parlodel)- D2 agonist
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dantrolene- muscle relaxer
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, What medication to give during SS? - correct answer-cyproheptadine (Periactin)- 5HT-2A receptor
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antagonist
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What is the onset and typical length of NMS? - correct answer-Slow onset (1-2 weeks after changing or
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starting therapy) and resolves within 9-14 days
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What is the onset of SS? - correct answer-Within 24 hours of starting/changing medication and resolves
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within a few days
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How do you distinguish between NMS and acute dystonia? - correct answer-NMS has a slower onset
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while acute dystonia occurs within hours
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What happens with lithium and NSAIDs? - correct answer-Increased risk of lithium toxicity (gout meds,
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ibuprophen, naproxen, etc.)
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What happens with lithium and ACE inhibitors? - correct answer-Increased risk of lithium toxicity
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related to the increased urination from the ACE inhibitors
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Why should a patient on lithium avoid calcium channel blockers? - correct answer-Risk of fatal
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nephrotoxicity
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What is a fetal side effect of lithium? - correct answer-Epstein's anomaly
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What lab should you check for athletes on lithium? - correct answer-Specific gravity to assess for
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dehydration (dehydration is >1.015)
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What do you do if the lithium level is 1.3? - correct answer-Do not give the next dose and assess for s/s
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At what level is lithium toxicity a medical emergency? - correct answer->3
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S/S of lithium toxicity - correct answer-vomiting, diarrhea, slurred speech, hand tremor, dry
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mouth/thirst, muscle weakness/twitching
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Why check an EKG with lithium? - correct answer-Inverted T-waves
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What medication should treat hypothyroidism caused by lithium use? - correct answer-Synthroid
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What do you do if patient is prescribed both depakote and lamictal? - correct answer-Decreased
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lamictal dose by 50%
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Depakote and pregnancy - correct answer-Spina bifida
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What emergency may be occuring if patient on depakote reports upper abdominal pain? - correct
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answer-Pancreatitis
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What lab should you check if patient has right upper quadrant pain and dark brown urine? - correct
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answer-LFTs
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What lab means pregnancy? - correct answer-HCG
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Why is Clozaril used? - correct answer-Treatment resistant schizophrenia, improves SI, and improves
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negative symptoms of schizophrenia
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